| NPI | 1265361026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELLE JOSEPHINA BAILEY Owner 719-988-3843 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-05-18 |
| Last Update Date | 2026-05-18 |